Scurvy Is Still Present in Developed Countries
Identifieur interne : 002602 ( Pmc/Checkpoint ); précédent : 002601; suivant : 002603Scurvy Is Still Present in Developed Countries
Auteurs : Bertha Velandia [États-Unis] ; Robert M. Centor [États-Unis] ; Vicky Mcconnell [États-Unis] ; Mobin Shah [États-Unis]Source :
- Journal of General Internal Medicine [ 0884-8734 ] ; 2008.
Abstract
Scurvy, while uncommon, still occurs in developed countries despite the widespread availability of vitamins and fortified foods. A vitamin C deficiency prevalence of 10 to 14% in adults was reported in the National Health and Nutrition Examination Survey (NHANES) in 1994.
We report the case of a 57-year-old male who presented with a combined vitamin C deficiency (scurvy) and a Zinc deficiency.
He came to the emergency department complaining of a painful swollen ecchymotic leg and dyspnea. Prescriptions for narcotics did not relieve his symptoms. When a detailed dietary history was obtained, we added scurvy to the differential diagnosis. An extensive evaluation excluded trauma, coagulopathies, neoplasia, and vasculitides.
The combination of a classic skin biopsy and a low vitamin C level confirmed the diagnosis.
This presentation illustrates the necessity of including scurvy in the differential diagnosis of ecchymoses and demonstrates specific populations at risk: single adults and the elderly with deficient diets.
Url:
DOI: 10.1007/s11606-008-0577-1
PubMed: 18459013
PubMed Central: 2517958
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
PMC:2517958Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Scurvy Is Still Present in Developed Countries</title><author><name sortKey="Velandia, Bertha" sort="Velandia, Bertha" uniqKey="Velandia B" first="Bertha" last="Velandia">Bertha Velandia</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Family Practice, University of Alabama, Huntsville, AL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>Department of Family Practice, University of Alabama, Huntsville</wicri:cityArea></affiliation></author><author><name sortKey="Centor, Robert M" sort="Centor, Robert M" uniqKey="Centor R" first="Robert M." last="Centor">Robert M. Centor</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Internal Medicine, University of Alabama Birmingham, Birmingham, AL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>Department of Internal Medicine, University of Alabama Birmingham, Birmingham</wicri:cityArea></affiliation></author><author><name sortKey="Mcconnell, Vicky" sort="Mcconnell, Vicky" uniqKey="Mcconnell V" first="Vicky" last="Mcconnell">Vicky Mcconnell</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Internal Medicine, University of Alabama Birmingham, Birmingham, AL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>Department of Internal Medicine, University of Alabama Birmingham, Birmingham</wicri:cityArea></affiliation></author><author><name sortKey="Shah, Mobin" sort="Shah, Mobin" uniqKey="Shah M" first="Mobin" last="Shah">Mobin Shah</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Family Practice, University of Alabama, Huntsville, AL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>Department of Family Practice, University of Alabama, Huntsville</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18459013</idno><idno type="pmc">2517958</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2517958</idno><idno type="RBID">PMC:2517958</idno><idno type="doi">10.1007/s11606-008-0577-1</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">000E86</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000E86</idno><idno type="wicri:Area/Pmc/Curation">000E86</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000E86</idno><idno type="wicri:Area/Pmc/Checkpoint">002602</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002602</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Scurvy Is Still Present in Developed Countries</title><author><name sortKey="Velandia, Bertha" sort="Velandia, Bertha" uniqKey="Velandia B" first="Bertha" last="Velandia">Bertha Velandia</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Family Practice, University of Alabama, Huntsville, AL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>Department of Family Practice, University of Alabama, Huntsville</wicri:cityArea></affiliation></author><author><name sortKey="Centor, Robert M" sort="Centor, Robert M" uniqKey="Centor R" first="Robert M." last="Centor">Robert M. Centor</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Internal Medicine, University of Alabama Birmingham, Birmingham, AL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>Department of Internal Medicine, University of Alabama Birmingham, Birmingham</wicri:cityArea></affiliation></author><author><name sortKey="Mcconnell, Vicky" sort="Mcconnell, Vicky" uniqKey="Mcconnell V" first="Vicky" last="Mcconnell">Vicky Mcconnell</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Internal Medicine, University of Alabama Birmingham, Birmingham, AL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>Department of Internal Medicine, University of Alabama Birmingham, Birmingham</wicri:cityArea></affiliation></author><author><name sortKey="Shah, Mobin" sort="Shah, Mobin" uniqKey="Shah M" first="Mobin" last="Shah">Mobin Shah</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Family Practice, University of Alabama, Huntsville, AL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>Department of Family Practice, University of Alabama, Huntsville</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of General Internal Medicine</title><idno type="ISSN">0884-8734</idno><idno type="eISSN">1525-1497</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Scurvy, while uncommon, still occurs in developed countries despite the widespread availability of vitamins and fortified foods. A vitamin C deficiency prevalence of 10 to 14% in adults was reported in the National Health and Nutrition Examination Survey (NHANES) in 1994.</p></sec><sec><title>Objective</title><p>We report the case of a 57-year-old male who presented with a combined vitamin C deficiency (scurvy) and a Zinc deficiency.</p></sec><sec><title>Interventions</title><p>He came to the emergency department complaining of a painful swollen ecchymotic leg and dyspnea. Prescriptions for narcotics did not relieve his symptoms. When a detailed dietary history was obtained, we added scurvy to the differential diagnosis. An extensive evaluation excluded trauma, coagulopathies, neoplasia, and vasculitides.</p></sec><sec><title>Main Result</title><p>The combination of a classic skin biopsy and a low vitamin C level confirmed the diagnosis.</p></sec><sec><title>Conclusion</title><p>This presentation illustrates the necessity of including scurvy in the differential diagnosis of ecchymoses and demonstrates specific populations at risk: single adults and the elderly with deficient diets.</p></sec></div></front></TEI><pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Gen Intern Med</journal-id><journal-title>Journal of General Internal Medicine</journal-title><issn pub-type="ppub">0884-8734</issn><issn pub-type="epub">1525-1497</issn><publisher><publisher-name>Springer-Verlag</publisher-name><publisher-loc>New York</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">18459013</article-id><article-id pub-id-type="pmc">2517958</article-id><article-id pub-id-type="publisher-id">577</article-id><article-id pub-id-type="doi">10.1007/s11606-008-0577-1</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Reports/Clinical Vignettes</subject></subj-group></article-categories><title-group><article-title>Scurvy Is Still Present in Developed Countries</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Velandia</surname><given-names>Bertha</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author" corresp="yes"><name name-style="western"><surname>Centor</surname><given-names>Robert M.</given-names></name><degrees>MD</degrees><address><phone>+1-205-9754889</phone><fax>+1-205-9757797</fax><email>rcentor@uab.edu</email></address><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>McConnell</surname><given-names>Vicky</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Shah</surname><given-names>Mobin</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="Aff1">1</xref></contrib><aff id="Aff1"><label>1</label>Department of Family Practice, University of Alabama, Huntsville, AL USA</aff><aff id="Aff2"><label>2</label>Department of Internal Medicine, University of Alabama Birmingham, Birmingham, AL USA</aff></contrib-group><pub-date pub-type="epub"><day>6</day><month>5</month><year>2008</year></pub-date><pub-date pub-type="ppub"><month>8</month><year>2008</year></pub-date><volume>23</volume><issue>8</issue><fpage>1281</fpage><lpage>1284</lpage><history><date date-type="received"><day>1</day><month>3</month><year>2007</year></date><date date-type="rev-recd"><day>19</day><month>7</month><year>2007</year></date><date date-type="accepted"><day>25</day><month>2</month><year>2008</year></date></history><permissions><copyright-statement>© Society of General Internal Medicine 2008</copyright-statement></permissions><abstract><sec><title>Introduction</title><p>Scurvy, while uncommon, still occurs in developed countries despite the widespread availability of vitamins and fortified foods. A vitamin C deficiency prevalence of 10 to 14% in adults was reported in the National Health and Nutrition Examination Survey (NHANES) in 1994.</p></sec><sec><title>Objective</title><p>We report the case of a 57-year-old male who presented with a combined vitamin C deficiency (scurvy) and a Zinc deficiency.</p></sec><sec><title>Interventions</title><p>He came to the emergency department complaining of a painful swollen ecchymotic leg and dyspnea. Prescriptions for narcotics did not relieve his symptoms. When a detailed dietary history was obtained, we added scurvy to the differential diagnosis. An extensive evaluation excluded trauma, coagulopathies, neoplasia, and vasculitides.</p></sec><sec><title>Main Result</title><p>The combination of a classic skin biopsy and a low vitamin C level confirmed the diagnosis.</p></sec><sec><title>Conclusion</title><p>This presentation illustrates the necessity of including scurvy in the differential diagnosis of ecchymoses and demonstrates specific populations at risk: single adults and the elderly with deficient diets.</p></sec></abstract><kwd-group><title>KEY WORDS</title><kwd>scurvy</kwd><kwd>57-year-old male patient</kwd><kwd>vitamin C</kwd><kwd>developed country</kwd><kwd>ecchymosis</kwd></kwd-group><custom-meta-wrap><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Society of General Internal Medicine 2008</meta-value></custom-meta></custom-meta-wrap></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>Alabama</li></region></list><tree><country name="États-Unis"><region name="Alabama"><name sortKey="Velandia, Bertha" sort="Velandia, Bertha" uniqKey="Velandia B" first="Bertha" last="Velandia">Bertha Velandia</name></region><name sortKey="Centor, Robert M" sort="Centor, Robert M" uniqKey="Centor R" first="Robert M." last="Centor">Robert M. Centor</name><name sortKey="Mcconnell, Vicky" sort="Mcconnell, Vicky" uniqKey="Mcconnell V" first="Vicky" last="Mcconnell">Vicky Mcconnell</name><name sortKey="Shah, Mobin" sort="Shah, Mobin" uniqKey="Shah M" first="Mobin" last="Shah">Mobin Shah</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Pmc/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002602 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd -nk 002602 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Pmc
|étape= Checkpoint
|type= RBID
|clé= PMC:2517958
|texte= Scurvy Is Still Present in Developed Countries
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i -Sk "pubmed:18459013" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |